Provider Demographics
NPI:1609463199
Name:RELEFORD, SHAKIRA
Entity Type:Individual
Prefix:
First Name:SHAKIRA
Middle Name:
Last Name:RELEFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2494 ROYCROFT ALY
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-8609
Mailing Address - Country:US
Mailing Address - Phone:319-455-6770
Mailing Address - Fax:
Practice Address - Street 1:2494 ROYCROFT ALY
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-8609
Practice Address - Country:US
Practice Address - Phone:319-455-6770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-30
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor